Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $8.13	Facility		$3.98	$3.98	$8.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $7.94	Professional		$3.02	$5.01	$7.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $46.77 / $89.13	Facility		$17.38	$46.77	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.03 / $6.03	Professional		$5.37	$6.03	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $9.12	Facility		$4.79	$4.79	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $8.91	Professional		$4.07	$4.07	$8.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.59 / $16.22	Professional		$8.13	$12.59	$16.22
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $3.16 / $8.13	Facility		$2.40	$3.16	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.98 / $6.46	Professional		$2.82	$3.98	$6.46